Vip Doctors Care of St Augustine LLC
NPI #1114351079 in St Augustine, Florida
Provider Information
- NPI Number
- 1114351079
- Entity Type
- Organization
- Organization Name
- Vip Doctors Care of St Augustine LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 28, 2013
- Last Updated
- Aug 28, 2013
Practice Location
- Address
- 655 STATE ROAD 207
- Address 2
- SUITE 102
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-5937
- Phone
- (561) 843-7720
Authorized Official
- Name
- JOSEPH DICAPUA
- Title
- MANAGING MEMBER
- Phone
- (561) 843-7720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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